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Updated: Oct 15, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Assessing Postsurgical Outcomes with Prepectoral Breast Reconstruction: A Literature Review and Meta-analysis Update
Abhishek Chatterjee1, Maurice Y Nahabedian2,3, Allen Gabriel4
1Tufts Medical Center, Boston, Mass.
Background:
Prepectoral implant-based breast reconstruction is an alternative to subpectoral/dual-plane reconstruction.
Methods:
This study examined outcomes of prepectoral reconstruction using a meta-analysis of data pooled with data from our previous review. Thirty studies were included.
Results:
Explantation, seroma, and infection were the most common complications with no animation deformity reported. Significantly lower odds of infection were observed with prepectoral compared with dual-plane reconstruction.
Conclusions:
Current literature suggests that prepectoral reconstruction may be associated with lower rates of postsurgical infections.
